ATI RN
ATI NUR223 Absection 4 Maternity Final Exam Questions
Extract:
A nurse is caring for a client who is in labor and has an epidural for pain relief. The client's blood pressure is 88/50 mm Hg and the fetal heart rate is 140/min with minimal variability and late decelerations.
Question 1 of 5
Which of the following actions should the nurse take?
Correct Answer: D
Rationale: Hypotension and late decelerations suggest maternal and fetal compromise; notifying the provider ensures timely intervention.
Extract:
A nurse is assessing a client who is at 39 weeks of gestation and in active labor. The client reports leakage of fluid and the nurse notes a small amount of clear fluid in the client's perineal area.
Question 2 of 5
Which of the following actions should the nurse take first?
Correct Answer: A
Rationale: A nitrazine test confirms rupture of membranes by detecting amniotic fluid's alkaline pH, guiding further management.
Extract:
A nurse is caring for a client who is at 37 weeks of gestation and has placenta previa. The client asks why the provider does not do an internal examination.
Question 3 of 5
Which of the following explanations of the primary reason should the nurse provide?
Correct Answer: A
Rationale: Internal examination in placenta previa risks disrupting the placenta, causing severe hemorrhage due to its low-lying position over the cervix.
Extract:
A nurse is preparing to administer magnesium sulfate IV to a client who is experiencing preterm labor.
Question 4 of 5
Which of the following is the priority nursing assessment for this client?
Correct Answer: C
Rationale: Magnesium sulfate can depress respiratory function; monitoring respiratory rate is critical to detect toxicity.
Extract:
A nurse is caring for a client who is in labor and assists the provider who performs an amniotomy.
Question 5 of 5
Which of the following is the priority action by the nurse following the procedure?
Correct Answer: D
Rationale: Assessing fetal heart rate post-amniotomy detects potential cord prolapse or distress, ensuring fetal well-being.